OFFICE OF THE STATE MEDICAL COMMISSIONER ESI CORPORATION, REGIONAL OFFICE

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1 OFFICE OF THE STATE MEDICAL COMMISSIONER ESI CORPORATION, REGIONAL OFFICE , HILL FORT ROAD, ADARSHNAGAR, HYDERABAD-63 TEL NO , 57 & 58, EXTN: 229, TEL-FAX NO NOTICE INVITING EXPRESSION OF INTEREST (EOI) FOR EMPANELMENT OF SECONDARY CARE SERVICES TO ESI BENEFICIARIES OF TELANGANA STATE ESIC is a statutory body under the Ministry of Labour & Employment providing Comprehensive health care through a network of dispensaries and hospitals to the insured persons and their family in majority of States / Districts of the Country. In its Reform Agenda under ESIC 2.0, the ESIC expanded its Services across the country. In this endeavor, ESIC is extended its coverage in the newly identified areas in the already implemented districts of Telangana intends to provide secondary medical health care services in those areas through tie-up with eligible healthcare providers (Except Hyderabad). Expression of Interest (EOI) are invited from Government/Semi Government/CGHS approved / Private Hospitals for the empanelment for providing Secondary Medical Care (Specialty) treatment services on cashless basis to ESI Beneficiaries at CGHS rates as per ESIC conditions. The applicants may download all the documents such as the Application form, Terms and Conditions (Annexure-I), Expression of Interest form (Annexure-II), Information about Services being offered (Annexure-III), undertaking regarding rates (Annexure-IV), Undertaking (Annexure-V) and List of Centres where services are to be provided (Annexure-VI) from the website Duly filled application in PDF format may be sent to the SMC by at the id ssmc-ts@esic.in with subject line reading EOI FOR EMPANELMENT FOR SECONDARYCARE (SPECIALITY) TREATMENT. Hard copy may be send in a sealed envelope with the superscription EOI for empanelment for Secondary care addressed to: The State Medical Commissioner, Employees State Insurance Corporation, Regional Office, , Hill Fort Road, Adarsh Nagar, Hyderabad, Telangana, Pin Last date of submission of application: 24/11/2017 (Friday) P.M. Application received after the scheduled date and time shall summarily be rejected. Sd/- State Medical Commissioner

2 ESIC EXPRESSION OF INTEREST (EOI) FOR EMPANELMENT OF SECONDARY CARE SERVICES Application Form (For empanelment of Hospitals for secondary care treatment) To, The State Medical Commissioner, ESI Corporation Regional Office, , Hill fort Road, Adarsh Nagar, Hyderabad Subject: Expression of Interest (EOI) for Empanelment for Secondary Care treatment to ESI Beneficiaries. Sir, In reference to your advertisement in the news paper /website dated..., I / We wish to offer the Secondary Care (Specialty) treatment services to ESI beneficiaries on cashless basis. I / We pledge to abide by the terms and conditions of the EOI document and I / We also certify that the above information as submitted by me / us in Annexure I, II, III, IV and V is correct and I / We fully understand the consequences of default on our part, if any. Place: Date: (Name and signature of the Applicant) Enclosures: Duly filled Annexure I, II, III, IV, and V. Note: Incomplete application form without signature / annexures will not be considered.

3 Annexure I TERMS AND CONDITIONS (Please read all terms and conditions carefully before filling the application form and annexure thereto.) Empanelment is for secondary care of ESIC beneficiaries in new implementation areas. 1. General Terms and Conditions: A) Hospitals providing secondary care treatment services (it does not include the services by the super specialists) may apply. B) Duly completed EOI forms may be sent to SMCs E- mail and physical copy to SMC. The application should be super scribed EOI for empanelment of Hospitals for Secondary Care (Specialty). Applications received after the scheduled date and time and without necessary documents shall summarily be rejected. C) Rates of package and procedure / investigation will be as per Central Government Health Scheme (CGHS) rates as per ESIC conditions. D) Contract may be awarded to one or more Tenderers depending upon the concentration of ESl Beneficiaries E) The Applicant should apply for at least five Specialties in secondary care (i.e. Medicine, Surgery, Gynecology & Obstetrics, Orthopedics and Pediatrics) F) Successful applicants shall have to furnish a Performance Bank Guarantee of Rs. Two Lakh from a nationalized bank having validity of 24 months plus 6 months from the date of agreement. G) Application form and (Annexure I, II, III, IV& V) should be duly filled and signed by the Proprietor, or duly authorized person with official seal / rubber stamp. H) The applications, if received from the Hospitals / Diagnostic Centers which have been de-empanelled by ESIC / CGHS or any other Govt. Institution, will not be taken into consideration for three years from the date of de-empanelment. (The institution has to give undertaking in this regard in Annexure-V). I) The applicant or his / her representative should always be available/ approachable over phone. For this purpose, a Nodal Officer shall be nominated by hospital to interact with ESIC Beneficiaries / State Medical Commissioner (SMC) office. His/her mobile number/ ID / fax details should be made available to ESIC& should also be displayed at the helpdesk provided for ESIC Beneficiaries. J) The empanelled Centre must be standard one (and if NABH or equivalent accreditation as per CGHS submit such proof) and should have standard equipment, re-agents etc, qualified and trained manpower. K) The hospital should have facility to receive referral letter as soft copy and to submit bill and other documents to bill processing agency online. The empanelled centre shall send the bills in hard copy within 07 days of discharge to the SMC Office. L) Members of the Inspection Committee as constituted by SSMC shall visit the Empanelled Centre before entering in to the contract and during the period of empanelment. The Applicant shall be prepared to explain / reply the queries of the members of the inspection Committee /authorized person of ESIC during the period of empanelment.

4 M) An Agreement on stamp paper of appropriate value shall be signed with Hospitals that are approved for empanelment after, scrutiny of bids evaluation thereof. The incidental charges related to agreement shall be borne by the Empanelled Centre. Only those applications will be considered for Award of contract that fulfill all the technical Conditions and also have satisfactory report of inspection committee constituted by SMC Office. Bid must be accompanied with all prescribed mandatory documents duly verified and signed, failing which the bid will not be entertained. 2. Eligibility: 1. Hospitals already on the panel of CGHS may be empanelled. (Attach copy of valid letter of empanelment with CGHS) 2. The other hospitals applying for secondary care treatment facilities must satisfy the following conditions : General purpose hospital providing specialty treatment / investigation facilities having 50 or more inpatients medical beds (excluding ICU beds) and in the following specialties: I. General Medicine II. General Surgery III. Obstetrics and Gynecology IV. Pediatrics V. Orthopedics VI. ENT VII. Ophthalmology VIII. Imaging and in-house diagnostic facilities IX. Dental Specialty X. Blood Bank XI. Others (if any) Note: a. In respect of the above, it is clarified that the first five specialties from the serial no. I to V are must for empanelment. However, conditions with regard to number of beds and number of specialties are relaxable, if there are no hospitals satisfying above mentioned conditions. b. In addition to the above, the hospital must have: I. Intensive Care Unit II. 24 hours emergency services managed by technically qualified staff III. Provision for dietary services to the patients IV. Information is to be submitted in annexure III (Preference will be given to the hospital having in-house imaging and diagnostic facilities and blood bank) 3. Specialty Eye Centre: can be empanelled if fulfilling the criteria as defined by CGHS

5 4. Conditions related to packages and other rates: The fixed payment for secondary care services is as under: i) Rs.200/- per patient for medicines and its dispensation at the time of discharge for both package and non package cases. ii) Fixed Rs.450/- per visit per patient for providing services of OPD, investigations, treatment including cost and dispensing of medicines. Drugs for chronic illness like hypertension, diabetes, cardiac problem etc. should be taken from ESIS system. a) Package rate shall mean and include lump sum cost of in-patient treatment/diagnostic procedure/ day care for which a ESI beneficiary has been permitted by the competent authority or for treatment under emergency from the time of admission to the time of discharge as per CGHS terms and conditions. b) In order to remove the scope of any ambiguity on the point of package rates, it is reiterated that a package rate for a particular procedure is inclusive of all sub procedures and all related procedures to complete the treatment procedure. The patient shall not be asked to bear the cost of any such procedure/items. 6. The hospital should be well equipped and engaged in providing Medical and /or Surgical facilities. The facility should have an operational pharmacy and diagnostic services. In case, health provider does not have any operational pharmacy and diagnostic services, they should be able to link with the same in close vicinity so as to provide 'cashless' service to the patient. 7. Hospital should have qualified doctors and nursing and other staff under its employment round the clock. 8. The empanelled hospital shall not refuse to treat any ESI patient. The hospital shall levy CGHS rates as per ESIC conditions. 9. Hospital / Diagnostic Centers empanelled with SMC, ESIC AP and Telangana shall not charge more than CGHS rates. If Empanelled Hospital / Diagnostic Centre s rates are lower than the CHGS rates then the former will be charged. The Empanelled Hospital / Diagnostic Centers shall give the certificate to this effect while submitting the bills. 10. The services provided to ESI Insured Person and dependent family members shall be cashless. In no case the empanelled Hospital will ask for cash / kind from the ESI beneficiary even for the facilities for which the Hospital is not empanelled for. 11. Increased duration of Indoor treatment due to infection or the consequences of surgical procedure if not justified or due to any improper procedure will not be reimbursed. However if additional stay beyond the period covered in package rate is required for recovery in exceptional cases, supported by relevant medical records and certified as such by the hospital, additional reimbursement shall be allowed for accommodation charges as per entitlement, investigation charges (at approved rates), doctor visit charges (not more than two visits per day by specialist / consultant), and cost of medicines. (10% discount on pharmacy, 15% discount on implants not having ceiling rates or as per ESIC guidelines updated from time to time).

6 12. The package rates given in CGHS rate list are for Semi-Private Wards. At present, ESI beneficiaries (Insured Person (IP) and dependant family members) are entitled for general ward and hence there will be a deduction of 10 (Ten) percent in package rate. No separate room rent will be admissible. 13. Any legal liability arising out of such services shall be sole responsibility of the empanelled hospital/centre and shall be dealt with by the concerned empanelled hospital. However, Services will be provided by the hospital as per the terms of contract. 14. Primary Healthcare to ESIC beneficiaries is being provided by ESIS dispensaries / State Health System/ Empanelled Clinic / Mobile Clinic/ IMP. The secondary Healthcare will be provided by empanelled hospitals. Primary service provider will refer to the patient in pre authorized referral form duly signed and stamped by authorized person. 15. Empanelled Centers will investigate / treat the ESI beneficiary patient only for the condition for which they are referred with permission. However, in case of unforeseen emergencies during admission necessary life saving measures may be taken and SMC shall be informed accordingly by with justification. 16. During the in-patient treatment of ESI beneficiary, the empanelled hospital/ empanelled centre will not ask the attendant to provide separately the medicines/equipment etc. from outside and the centre will provide the treatment within the package rates, fixed by CGHS which includes the cost of all items. 17. The empanelled hospital shall provide free OPD consultation for follow up after hospitalization for at least two visits. Payment Schedule: The Empanelled Hospitals will send bills in prescribed format along with necessary supportive documents to the office of State Medical Commissioner, ESIC within 07 days of discharge. Soft copy of the bill along with necessary documents should be send online to bill processing agency of ESIC. The details of documents to be submitted are as follows:- a) Discharge slip duly verified signed and stamped by treating doctor incorporating history of the case, diagnosis, detail of procedure done / treatment given and medicine doses given /advised on discharge along with the duration of hospital stay (Date of admission, Date of discharge). Discharge sheet should be accompanied with the copy of the case sheet. The discharge sheet should have signature of the beneficiary / attendant and treating consultant in original along with his / her stamp. b) Report of investigations in original duly verified. c) Original bills/invoice of implants / devices etc. duly verified by treating consultant should be attached. The bills should have details of the implant / devices i.e. batch no. size, quantity, expiry date (if any). d) Stickers of implants duly verified by the treating consultant should be attached. f) Referral form duly filled by ESIS Dispensary. g) ESI benefit entitlement certificate

7 h) Patients/ attendant satisfaction certificate I) Pehchan Card/ Identity Certificate of the insured person (IP)/ family. j) The original bill of the hospital in relation to the patient duly signed by the authority, duly stamped, and dated. k) Operative / procedure notes with sign and stamp of operating doctor. l) Wrappers and invoices of costly medicines (above Rs 5000 per unit). The above documents related to treatment/ investigation duly verified by the treating/investigating doctor shall be submitted by the hospital/ diagnostic centers along with the bill. The bills must be submitted within 07 days of the discharge/ completion of consultation/treatment/investigation. The bills received after the above mentioned period shall not be entertained. Duration of the contract The contract remain in force for a period of two years from the date of signing of the contract and may be extended for one more year subject to performance of the hospital on fulfillment of all terms and conditions of the contract and with mutual consent. Duration and Responsibilities of Empanelled Hospitals a) It shall be the duty and responsibility of the hospital/investigation center at all times, to obtain, maintain, and sustain the valid registration and high quality& standards of its services and health care and to have all statutory/mandatory licenses, permits, or approvals of the concerned authorities as per the existing laws. (Attach the valid state registration certificate /registration with local bodies, wherever applicable). b) Display Board regarding cashless facility for ESI beneficiary will be required; The list of necessary documents required for treatment /Investigations at the empanelled Hospital/diagnostic center must be display on the board. A help desk shall be there for facilitation of ESI beneficiaries. The Name and Contact Number of ESI Nodal Officer (S) should also be displayed on the notice board. c) Empanelled hospital/center shall abide by all conditions herein mentioned during the period of this contract in force. d) The empanelled center will have to comply with the instructions/ directions issued by the State Medical Commissioner. Failure of empanelled hospitals/ center to comply with any of the above condition any time during the period of contract in force, will make the empanelled centre liable for de-empanelment after giving due notice. Hospital s Obligations during the Contract Period. The empanelled hospital is responsible for and obliged to carry on all duties in accordance with the contract, using state-of-the-art equipments / methods and economic principles and exercising all means available to achieve the performance specified in the contract. The Hospitals is obliged to act within its own authority and abide by the directives issued by the ESIC from time to time. The hospital is responsible for managing the activities of its personnel and will hold itself responsible for their misdemeanors, negligence, misconduct, or deficiency in services, if any. Hospital must intimate the change in the form of ownership, incorporation, or collaboration failing which the contract may be terminated by SMC office after due process.

8 Liquidated Damages Empanelled centre shall provide the services as specified by the ESIC under terms & conditions of the contract. In case of violation of the provisions of the contract by the empanelled centre, payment of the incoming/ pending bills may be withheld and termination of tie up may be invoked. For over billing and unnecessary procedures, the extra amount so charged will be deducted from the pending / further bills of the hospital. The empanelled hospital shall under take to indemnify for any loss suffered by ESIC due to any fraud or misrepresentation in the bills on the part of hospital. ESIC shall have exclusive right to terminate the contract at any time. Risk and Cost Patients cannot be denied treatment on the pretext of non availability of beds/specialist etc. In case of failure by the empanelled hospital to perform its duties under this contract due to whatever reason, SMC, ESIC has right to get the performance of the duties done from any other hospital at the sole risk and cost of the empanelled hospital. Termination for default a) State medical commissioner, ESIC, may, without prejudice to any other remedy and for breach of contract in whole or part may terminate the contract:- I. If the hospital fails to provide any or all of the services for which it has been empanelled within the period(s) specified in the contract, or within any extended period thereof if any, granted by ESIC. II. If the hospital fails to perform any other obligation(s) under the contract. III. If the hospital, in the judgment of ESIC, is engaged in corrupt or fraudulent practice in competing for or in executing the contract. IV. If the hospital fails to follow instructions, guidelines and submits bills in its own way and with repeated deficiencies, the institution shall be liable for de-empanelment. b) If hospital found to be involved in or associated with unethical, illegal or unlawful activity, the contract will be summarily suspended by ESIC and thereafter ESIC may terminate the contract, after giving a show cause notice and considering its reply ( if any ) received within 10 days of the receipt of the show cause notice. c) The ESIC shall have the right to terminate the contract in case of empanelled hospital is wound up/ dissolved/re-incorporated. The termination of contract shall not relieve the Empanelled centre or their heirs and legal representative from their liability in respect of the services provided by the empanelled centre during the period when the contract was in force. d) Either party can terminate the contract by giving 03 months notice. Premature termination of contract: In case of premature termination of contract by the empanelled centre without a notice of at least three months duration, it will have to pay to the ESIC, the damages to be determined by SMC and the same may be recovered either from pending bills or performance bank guarantee or both ( if not paid otherwise ).

9 Indemnity The Empanelled Hospital shall at all time, indemnify and keep indemnified ESIC against all actions, suits, claims, and demand brought or made against in respect of anything done or purported to be done by the Hospital/centre in execution of or in connection with the services under this contract and against any loss or damage to ESIC in consequence to any action or suit being brought against the ESIC along with the Hospital/centre or otherwise, as a party for anything done or purported to be done in the course of the execution of this Contract. The Hospital will at all times abide by the job safety measures and other statutory requirements prevalent in India and will keep free and indemnify the ESIC from all demands or responsibilities arising from accidents or loss of life resulting from negligence or unreasonable conduct on the part of empanelled hospital. The Hospital will solely pay all the indemnities arising from such incidents without any extra cost to ESIC and will not hold the ESIC responsible or obligated. ESIC may at its discretion and always entirely at the cost of the tie up Hospital/ diagnostic centre defend such suit, either jointly with the tie up Hospital or unilaterally in case the latter chooses not to defend the case. Arbitration If any dispute or difference of any kind what so ever (the decision thereof not being otherwise provided for) shall arise between the ESIC and the Empanelled Hospital upon or in relation to or in connection with or arising out of the Contract, shall be referred for arbitration by the State Medical Commissioner, ESIC. The Arbitrator will be appointed by State Medical Commissioner. The decision of the Arbitrator will be final and binding. The provision of Arbitration and Conciliation Act, 1996 shall apply to the arbitration proceedings. The venue of the arbitration proceedings shall be at the office of State Medical Commissioner. TDS and other Statutory Deductions: TDS and other Statutory Deductions will be as per Income Tax Rules or other applicable statutory provisions as prevalent from time to time. Miscellaneous a) Nothing under this Contract shall be construed as establishing or creating between the Parties any relationship of Master and Servant or Principle and Agent between the ESIC and Empanelled Centre. b) The Empanelled Hospital shall not represent or hold itself out as an agent of the ESIC. c) The ESIC will not be responsible in any negligence or misconduct on the part of the Empanelled Hospital and its employees for any accident, injury or damages sustained or suffered by any ESIC beneficiary or any third party resulting from or by any operation conducted by or on behalf of the hospital or in the course of doing its work or performing its duties under this contract of otherwise. d) The Empanelled Hospital shall notify ESIC of any material change in their status and their shareholdings or that of any Guarantor of the Empanelled Hospital/Centre in particular where such change would have an impact in the performance of obligation under this Contract.

10 e) This contract can be modified or altered only on written contract signed by both the parties with mutual consent. f) The ESIC shall have the right to terminate the contract in case the empanelled hospital is wound up/dissolved. The termination of contract shall not relieve the empanelled centre or their heirs and legal representatives from their liability in respect of the services provided by the empanelled centre during the period when the contract was in force. g) The hospital / centre shall bear all expenses incidental to the agreement. Notices: A. Any notice given by one party to other pursuant to this contract shall be sent to other party in writing by registered post at the official address mentioned in the contract. B. A notice shall be effective when served or on the notice s effective date, whichever is later. C. Registered communication shall be deemed to have been served even if it is returned with the remarks like refused, left premises, locked etc. State Medical Commissioner, ESIC, reserves the right to accept or reject any tender without assigning any reason thereof. I / We,..(name of the proprietor) have carefully gone through and understood the content s of the tender document and I / We undertake to abide myself/ ourselves by all the terms and conditions set forth. Date: Place: (Name and signature of proprietor or authorized person with office seal / rubber stamp)

11 ANNEXURE II Expression of Interest / offer Form (information about the centre) (To be submitted duly filled along with supporting documents along with the application for secondary care) 1. General Information for Hospital: A. Name of the hospital with complete address B. Telephone Number and FAX Number along with STD Code C. id D. Mobile Number of the Head of Institution E. Name, Designation along with contact no s of authorized person / officer (Mobile and Landline F. PAN / TAN number of firm / proprietor (photocopy to be attached).. 2. Information regarding Hospital: A. List of available secondary care service for which the hospital is interested for arrangement (As per Annexure III). B. Bed strength of the hospital (as per Secondary Care Services) C. No. of ICU Beds (Secondary Care) D. Number of functioning Operation Theatres (Secondary Care wise). E. List of availability of full time specialists along with their degrees / certificates for which going to be empanelled (Separate sheet to be attached) F. List of availability of part-time and on call specialists along with their degrees /certificates for which centre is interested to be empanelled (Separate sheet to be attached). G. List of doctors, paramedical and non medical staff (Separate list for doctors, paramedical and non medical staff to be attached) along with period of service and qualification H. Daily and monthly number of patients I. Name of existing organizations / institutions which whom the hospital is empanelled with if any -must attach valid empanelment letter as on date of application

12 J. Category of the hospital NABH or equivalent as per CGHS/Non NABH.. K. Copy of State Registration Certificate / Local Bodies as applicable L. Undertaking regarding rates (Annexure IV) (tick if attached) Date: Place: (Name and signature of proprietor / authorized person with office seal / rubber stamp) Note 1: Enclosures should be attached in the order as per the information given above. Note 2: Technical evaluation of the hospital / diagnostic centre shall be based on information provided by them on the above mentioned points and they shall mandatory provided documentary proof for the same. No future correspondence shall be entertained in this regard. An inspection committee will visit these centers for inspection which qualify in the technical bid.

13 ANNEXURE III Information about Specialty Services being offered for Empanelment (Tick the specialties in which empanelment are desired by Hospital / Centre) Name of the Hospital: Specialty Treatment: 1. General Medicine 2. General Surgery 3. Obstetrics and Gynecology 4. Pediatrics 5. Orthopedics 6. ENT 7. Ophthalmology 8. Imaging and in-house diagnostic facilities 9. Dental Specialty 10. Blood Bank 11. Others, if any Date: Place: (Name and signature of the proprietor / authorized person with office seal / rubber stamp)

14 ANNEXURE IV Undertaking The hospital will charge as per CGHS rates/ Hospitals rates whichever is less as per ESIC guidelines. (Name and signature of the proprietor / authorized person with seal / rubber stamp)

15 Annexure-V UNDERTAKING I / We. (Name of proprietor/ Director/authorized person) have carefully gone through and understood the contents of the Document form and I/We undertake to abide myself / ourselves by all the terms and conditions set forth. I / We are legally bound to provide services to ESIC Beneficiaries as per CGHS rates and other terms and conditions of Tender documents failing which the State Medical Commissioner, Regional Office, ESIC, Hyderabad is entitled to take action against me / us as he/she deems fit. I / We also undertake to provide uninterrupted services otherwise alternative arrangements will be made at the risk and cost of our institute. I / We undertake that the information submitted along with document and Annexure I, II, III, & IV is correct and also fully understand the consequences of default. I / We certify herewith that my / our empanelled hospital has never be de-empanelled by ESIC/CGHS or any other Govt. Institution / empanelling centre in the last three years. Date: Place: (Name and signature of the proprietor / authorized person with seal / rubber stamp)

16 Annexure-VI LIST OF CENTRES IDENTIFIED FOR SECONDARY CARE IN TELANGANA STATE GIVEN AS PER OLD DISTRICTS OF TELANGANA RANGA REDDY DISTRICT Sl Sl Centres No No Centres 1 VIKARABAD 11 MARPALLE 2 DOMA 12 CHEVELLA 3 KULKACHARLA 13 BANTARAM 4 PARGI 14 PEDDEMUL 5 SHANKARPALLE 15 BASHEERABAD 6 HAYATHNAGAR/ BHATASINGARAM 16 YELAL 7 DHARUR 17 KANDUKUR 8 PUDUR 18 GANDEED 9 MANCHAL 19 KEESARA 10 YACHARAM 20 SHABAD NALGONDA DISTRICT S No Centres S No Centres 1 POCHAMPALLE 12 NAKREKAL 2 MUNAGALA 13 PENPAHAD 3 CHIMIRIRYA 14 INAMPET 4 GARIDIPALLY 15 KETHEPALLE 5 VEMULAPALLE 16 SURYAPET 6 NIDAMANUR 17 NUTHANKAL 7 TRIPURAM 18 MATTAMPALLE 8 THRIPURARAM 19 CHINTHA PALLE 9 YADAGIRIGUTTA 20 HUZURNAGAR 10 IBRAHIMPATNAM 21 NARKETPALLE 11 ALAIR 22 DAMERACHERLA

17 MAHABOOB NAGAR DISTRICT S S Centres No No Centres 1 ACHAMPET 27 UPPUNUTHALA 2 KOLLAPUR 28 NARWA 3 LINGAL 29 WADDEPALLE 4 BALMOOR 30 MAGANOOR 5 AMRABAD 31 UTKOOR 6 KODAIR 32 MAKTHAL 7 KONDURG 33 KODANGAL 8 NARAYANPET 34 BOOTHPUR 9 KOSGI 35 TALAKONDAPALLY 10 BOMRASPET 36 MADGULA 11 MADDUR 37 ITIKYAL 12 DHANWADA 38 MANOPAD 13 TELKAPALLE 39 VANGOOR 14 DOULATHABAD 40 GOPALPET 15 DAMARAGIDDA 41 PEDDAMANDADI 16 BIJINAPALLE 42 IEEJ 17 ADDAKAL 43 MALDAKAL 18 CHINNA CHINTAKUNTA 44 ALAMPUR 19 KOTHAKOTA 45 GHATTU 20 PEBBAIR 46 GHANPUR 21 ATMAKUR 47 TADDOR 22 VELDANDA 48 THIMMAJIPET 23 NAGARKURNOOL 49 MIDJIL 24 PANGAL 50 DHARUR 25 VEEPANGANDLA 51 KESHAMPET 26 PEDDAKOTHAPALLE KARIMNAGAR DISTRICT S S Centres No No Centres 1 KAMALAPUR 5 PEDDAPALLE 2 ELKATHURTHI 6 VEMULAWADA 3 RAIKAL 7 MANTHANI 4 KODIMIAL

18 ADILABAD DISTRICT Sl Sl Centres No No Centres 1 ASIFABAD 13 SARANGAPUR 2 NIRMAL 14 UTNUR 3 LAXMANCHANDA 15 KUNTALA 4 DILAWARPUR 16 KHANPUR 5 SIRPUR (T) 17 LUXETTIPET 6 MAMDA 18 TANDUR 7 ADILABAD 19 CHENNUR 8 JAIPUR 20 MUDHOLE 9 MANDAMARRI 21 BELLAMPALLE 10 BHAINSA 22 JAINAD 11 JANNARAM 23 BOATH 12 REBBANA MEDAK DISTRICT S No Centres S No Centres 1 RAMAYAMPET 17 WARGAL 2 DOULTABAD 18 MULUG 3 NARAYANKHED 19 KONDAPUR 4 MANOOR 20 MEDAK 5 NYALKAL 21 MIRDODDI 6 KANGTI 22 DUBBAKA 7 KALHER 23 ANDOLE 8 ALLADURGA 24 KOWDIPALLE 9 REGODE 25 KULCHARAM 10 TEKMAL 26 THOGUTTA 11 PAPANNAPET 27 CHINNA KODUR 12 SHANKARAMPETA (A) 28 SHANKARAMPET (R) 13 RAIKODE 29 JHARASANGAM 14 JAGDEVPUR 30 YELDURTHY 15 GAJWEL 31 KONDAPAK 16 CHEGUNTA 32 NANGANUR

19 NIZAMABAD DISTRICT S No Centres S No Centres 1 GANDHARI 18 JUKKAL 2 PITLAM 19 BICHKUNDA 3 YELLAREDDY 20 SIRKONDA 4 BHEEMGAL 21 NAGA REDDIPET 5 BALKONDA 22 LINGAMPET 6 NAVIPET 23 JAKRANPALLE 7 NANDIPET 24 YEDA PALLE 8 SADASIVANAGAR 25 TADWAI 9 RANJAL 26 NIZAMABAD 10 MAKLOOR 27 MACHAREDDY 11 DICH PALLE 28 VARNI 12 BANSWADA 29 VELPUR 13 BHIKNUR 30 MORTAD 14 DOMAKONDA 31 NIZAM SAGAR 15 KOTGIRI 32 MADNUR 16 DHAR PALLE 33 BIRKOOR 17 KAMMAR PALLE KHAMMAM DISTRICT S No Centres S No Centres 1 TIRUMALAYAPALEM 13 ASWARAOPET 2 CHINTAKINI 14 TALLADA 3 JULURPAD 15 PENUBALLI 4 CHANDRUGONDA 16 CHERLA 5 SATHUPALLY 17 PINAPAKA 6 NELAKONDAPALLY 18 VEMSOOR 7 MUDIKONDA 19 YERRUPALEM 8 WYRA 20 DHAMMAPET 9 KALLUR 21 ASWAPURAM 10 MADHIRA 22 KUSUMANCHI 11 MANUGUR 23 SINGARENI 12 YELLANDU 24 BAYYARAM

20 WARANGAL DISTRICT S No Centres S No Centres 1 THORRUR 19 CHITYAL 2 KESAMUDRAM 20 MOGULLAPALLE 3 KURAVI 21 ZAFFERGADH 4 MARIPEDA 22 ETURNAGARAM 5 SANGEM 23 GOVINDARAOPET 6 DHARMASAGAR 24 GUDUR 7 GEESUGONDA 25 DUGGONDI 8 NARSAMPET 26 NALLABELLY 9 MANGAPET 27 KODAKANDLA 10 CHERIYAL 28 PARVATHAGIRI 11 PARKAL 29 VENKATAPUR 12 CHENNARAOPET 30 REGONDA 13 DEVARUPPULA 31 PALAKURTHI 14 KOTHAGUDEM 32 SHAYAMPET 15 NARMETTA 33 NARSIMHULAPET 16 NELLIKUDUR 34 RAIPARTHY 17 DORNAKAL 35 NEKKONDA 18 KHANAPUR